in this day in age, most gunshot wounds are not hunting
related at all.
was shot with a 9mm. The entrance wound is at the top
of the foot. The exit wound is at the bottom near the
ankle. Luckily there was no bone involvement. This picture
is 4 days after injury. The redness is clear evidence
along with the warmth that infection is also occurring.
Gunshot Wound to Foot Treating
these type of wounds, specifically of the extremities,
is basic wound care.
- Try to calm and reassure the individual.
- Check for sensation and pulse distal
to the wound.
- Irrigate irrigate irrigate!
- Consider a tourniquet only if bleeding
cannot be stopped by direct pressure. Make sure the
tourniquet is released every 15 minutes for 5 minutes.
- Splint so the individual cannot
move the extremity.
- Transport as soon as possible.
Healthcare Provider: Medical
Gunshot wounds as the one above
to the foot presented to the ER or urgent care center
should be treated as follows.
- Check for neuro-vascular deficits.
- Ask and check about tetanus update.
- Irrigate irrigate irrigate.
- Not advisable to close these wounds
by suturing. In fact, it would be beneficial in some
cases as above to pack the wound.
- An MRI and referral to a trauma
surgeon is important to rule out tendon/muscle involvement.
- Antibiotic coverage is crucial
with the emergence of MRSA, we cannot be too careful
on our choices. This individual was placed on cephlasporin
and was complient with his antibiotic and still had
a cellulitis. He was given additional coverage of